| NPI | 1730352907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RENEE HEIRING President 773-862-4732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016-004846) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2010-02-11 |